Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2023 Jun;192(3):1103-1108.
doi: 10.1007/s11845-022-03129-0. Epub 2022 Aug 25.

Adherence to secondary prevention recommendations after coronary artery bypass graft surgery

Taya Keating  1 , Mohammad AlAdalieh  2 , Zeb Chughtai  2 , Seyed Hossein Javadpour  2
Affiliations
Observational Study

Adherence to secondary prevention recommendations after coronary artery bypass graft surgery

Taya Keating et al. Ir J Med Sci. 2023 Jun.

Abstract

Objective: This study was undertaken to assess and evaluate adherence to secondary prevention recommendations and risk factor modifications among a patient cohort at a single-tertiary centre in Ireland, following coronary artery bypass grafting (CABG).

Methods: This is a retrospective observational study analysing patients who had CABG from 2015 to 2020, identified via the Adult Cardiac Surgery Database. Patients were asked a number of questions either over the phone or via postal survey, regarding blood pressure, cholesterol control, adherence to medication, attendance at cardiac-rehab and lifestyle factors. Any repeat interventions following CABG were noted.

Results: A total of 540 patients were invited to take part in this study. One hundred seventy-three patients consented to participate, ranging from 47 to 86 years old. Postoperatively, 59% of participants attended cardiac rehab. 90.2% of patients report taking a statin, 91.3% report taking an antiplatelet, 77.4% report taking a β-blocker and 75.7% take an antihypertensive. 93.1% of patients questioned in this study reported full compliance with their daily medications. Sixteen patients continue to have hypertension despite their current regimen. Thirteen patients continue to have hypercholesterolemia despite their current prescription. 62.4% of participants have quit smoking with only 4.6% remaining current smokers. No patients required re-operation, and eight patients required stenting. Compliance with diet and exercise modifications was suboptimal.

Conclusion: In this patient population, adherence to medication and control of risk factors is acceptable. However, there is room for improvement in terms of attendance at cardiac rehab (59%) and maintenance of a healthy lifestyle post-CABG.

Keywords: Atherosclerosis; Cardiac surgery; Coronary artery bypass grafting; Coronary artery disease; Secondary prevention.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Recruitment phase of study
Fig. 2
Fig. 2
Prescription of cardioprotective medications
Fig. 3
Fig. 3
Blood pressure and cholesterol control among participants
Fig. 4
Fig. 4
Diabetic status among participants
See this image and copyright information in PMC

References

    1. IH238 Prevalence of Coronary Artery Disease or Angina Pectoris in 2019 [Internet] (2019) [cited 24/08/2021]
    1. Marasigan V, Perry I, Bennett K et al (2020) Explaining the fall in Coronary Heart Disease mortality in the Republic of Ireland between 2000 and 2015 - IMPACT modelling study. Int J Cardiol 310:159–61 - PubMed
    1. VSD09 Deaths Occuring in 2020; CSO statistical publication [Internet] (2020) [cited 24/08/2021]
    1. O'Keefe JH, Carter MD, Lavie CJ. Primary and secondary prevention of cardiovascular diseases: a practical evidence-based approach. Mayo Clin Proc. 2009;84(8):741–757. doi: 10.4065/84.8.741. - DOI - PMC - PubMed
    1. Kulik A, Ruel M, Jneid H, et al. Secondary prevention after coronary artery bypass graft surgery: a scientific statement from the American Heart Association. Circulation. 2015;131(10):927–964. doi: 10.1161/CIR.0000000000000182. - DOI - PubMed

Publication types

Substances